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Abstract
It is suggested that the principal criterion to be employed as an indication for emergency
operation in severe upper gastrointestinal hemorrhage is the rate of bleeding. If
a patient is in shock on arrival at the hospital, or develops evidence of it while
under treatment, he deserves the constant vigilance of a bedside team of internist
and surgeon, and is preferably treated on the surgical wards. If the hemorrhage does
not seem to be controlled with blood transfusions approximating 500 c.c. every eight
hours, an emergency operation is to be considered very seriously. An exact knowledge
of the source of the bleeding, determined by emergency x-ray examination if necessary,
is a prerequisite for this type of surgery in order to prevent a useless operation.
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References
- Peptic Ulcer: Nature and Treatment Based on a Study of One Thousand, Four Hundred and Thirty-five Cases.Arch. Int. Med. 1935; 55: 271
- Acute Massive Hemorrhage from the Upper Gastrointestinal Tract.Surgery. 1937; 2: 713
- The Surgical Aspects of Hemorrhage From Peptic Ulcer.New England J. M. 1946; 235: 777
- A Safe Method for Roentgen Demonstration of Bleeding Duodenal Ulcers.Am. J. Roentgenol. 1937; 38: 565
- Roentgenologic Examination in Patients With Bleeding From the Gastrointestinal Tract.New England J. M. 1946; 235: 783
Hoerr, S. O., Dunphy, J. E., and Gray, S. J.: The Place of Surgery in the Emergency Treatment of Acute Massive, Upper Gastro-intestinal Hemorrhage, Surg., Gynec. & Obst. (In press).
Article info
Footnotes
☆Read at the meeting of the Society of University Surgeons, New Orleans, La., Jan. 29–31, 1948.
Identification
Copyright
© 1948 Published by Elsevier Inc.
